推拿手法对膝骨关节炎患者股四头肌肌力影响的临床研究

Clinical Study on Tuina Therapy for Knee Osteoarthritis Patients Musculus Quadriceps Fexoris Strength

目的:观察和评价推拿手法治疗膝骨关节炎的临床疗效,并对患者股四头肌肌力的变化进行分析。方法:采用随机数字表法分组的方法将96例膝骨关节炎患者分为治疗组和对照组,分别采用推拿手法治疗和药物(塞来昔布)治疗。30d为1个疗程,两组治疗周期均为1个疗程。治疗前后对患者进行疼痛、HSS评分、疗效,以及股四头肌肌力评定。结果:①疼痛评分显示,治疗后两组间比较无明显差异(P>0.05);HSS评分显示,治疗后两组间比较无明显差异(P>0.05);疗效显示,治疗组有效率是93.75%,对照组有效率是91.67%,治疗后两组间比较无明显差异(P>0.05)②等速测试结果显示,治疗后组内比较股四头肌肌力均有差异(P<0.05),两组间比较股四头肌存在差异(P<0.05)。结论:①推拿手法治疗膝骨关节炎近期疗效与口服塞来昔布等效;②推拿手法治疗可以提高膝骨关节炎患者股四头肌肌力和做功,其影响大于口服塞来昔布。

Objective：To observe the effect of Chinese Tuina manipulation therapy in treating Knee Osteoarthritis,and analyse the changing of musculus quadriceps fexoris strength.Methods：A total of 96 patients were randomly assigned to treatment group receiving Chinese Tuina manipulation therapy（n = 48） and control group receiving celebrex treatment（n = 48）.The treatment course was 30 days and the test cycle was 30 days.Knee pain,HSS score,Curative effective,and Isokinetic evaluation were recorded before and after treatment.Results：① There were no significant different between the two groups after their own treatment about effect rate,pain score and HSS score（P〉0.05）.The effect rate of Tuina group was 93.75%,and the effect rate of medicine group was 91.67%.② Musculus quadriceps fexoris strength were improved after treatment in the two groups（P〈0.05）,and the outcome of the Tuina group was more significant than medicine group（P〈0.05）.Conclusion：① Tuina manipulation therapy and celebrex treatment had same curative efficiency in short term.② Tuina manipulation therapy is better than celebrex in improving the musculus quadriceps fexoris strength.